Dance/Modified Yoga: A Health Strategy for AA Women at Risk for Chronic Diseases

舞蹈/改良瑜伽：针对有慢性病风险的 AA 女性的健康策略

基本信息

批准号：
8568607
负责人：
Candace C Johnson
金额：
$ 0.89万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-21 至 2013-12-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8568607
关键词：
Abate Address Adult Adverse effects African African American Age American American Heart Association Behavior Blood Glucose Blood Pressure Cardiovascular Diseases Caring Chronic Chronic Disease Clinical Communities Comorbidity Complementary therapies Complex Consent Dancing Data Diabetes Mellitus Diagnosis Eligibility Determination Fasting Feasibility Studies Focus Groups Foundations Frequencies Future Goals Health Health Promotion Healthcare Healthcare Systems Healthy People 2020 Heart Diseases Home environment Incidence Individual Instruction Insulin Resistance Internet Intervention Life Style Link Measurement Measures Mediating Metabolic Metabolic syndrome Methods Mexican Americans Modeling Movement Non-Insulin-Dependent Diabetes Mellitus Obesity Online Systems Outcome Overweight Participant Pathogenesis Perception Persons Physical activity Physiological Population Population Group Populations at Risk Posture Prevalence Prevention Public Health Public Health Nurses Public Health Nursing Race Recruitment Activity Research Research Design Research Personnel Risk Risk Factors Rural Signs and Symptoms Sports Medicine Stress Structure Symbolism Target Populations Testing Time Universities Weight Woman Work Workplace Yoga base care burden college depressive symptoms design diaries digital effective intervention experience fasting blood glucose level innovation insulin sensitivity meetings post intervention programs psychological outcomes public health priorities public health relevance response screening sedentary social statistics success theories waist circumference web site

项目摘要

DESCRIPTION (provided by applicant): African-American (AA) women experience the highest incidence of metabolic syndrome (MetS). MetS is associated with obesity and contributes significantly to the progression of type 2 diabetes and cardiovascular disease, two chronic illnesses that create a significant burden on the nation's health care system. Physical activity (PA) decreases the risk of MetS, obesity, type 2 diabetes, and cardiovascular disease; yet, AA women are the least active segment of the population.The purpose of the proposed 4-week feasibility study is to test a newly developed, Internet-based, PA intervention, Yogic Dance (YD), and whether or not YD digital videos can influence sedentary lifestyle behaviors in AA women (ages 35-64) at risk for or with MetS. The primary aim of this study is to determine the acceptability and feasibility of the YD intervention. Specifically, the study will examine (a) rate of participant eligibility, accrual, attrition, and reasons for attrition; (b) feasibility of usingthe Internet to assess study participation and to deliver the YD intervention; (c) feasibility of usinga commercially available accelerometer to objectively measure PA; (d) acceptability of the structured YD intervention; and (e) any other benefits and/or limitations of the study. The secondary aim of this study is to determine if there is a difference in PA after participating in te YD intervention. The study will use a single group, mixed-methods design underpinned by social constructivist theory and Pender's Health Promotion Model. Study participants will be drawn from both a rural university-centered AA community and a large urban AA community. After completing in-person screening and baseline measures, consented participants will engage in a 4-week Internet-based video intervention choreographed and produced by the applicant under the direction of skilled PA, dance, and yoga practitioners. Participants will be guided toward setting achievable goals to increase PA incrementally and will record daily YD participation using an online PA diary. Study participation will be assessed by frequency of YD Web site login attempts and reviewing of YD videos of three unique YD postures. To measure PA objectively, participants will use waist-worn FitbitTM accelerometers that have the capability of uploading these data to the YD study Web site for analysis. All recruited participants will be invited to participate in a focus group to gather their perceptions of barriers to and benefits from YD, the experiences of yoga and dance in their daily lives, and acceptability of using the YD intervention. In addition, descriptive/frequency data derived from the rates of participant eligibility, accrual, attrition, and the number of completed study measures will be calculated. Determination of whether or not there is an effect of YD on PA will be done using dependent t-tests that compare baseline PA to post-intervention PA as measured by online PA diaries and accelerometer data. Focus group data will be analyzed using content/thematic analysis with triangulation and will form a foundation for a program of research exploring the complex problems and facilitators that influence PA in AA women.

描述（由申请人提供）：非裔美国 (AA) 女性代谢综合征 (MetS) 的发病率最高。 MetS 与肥胖有关，并且会显着促进 2 型糖尿病和心血管疾病的进展，这两种慢性疾病给国家医疗保健系统造成了沉重负担。体力活动 (PA) 可降低 MetS、肥胖、2 型糖尿病和心血管疾病的风险；然而，AA 女性是人口中最不活跃的部分。拟议的为期 4 周的可行性研究的目的是测试新开发的、基于互联网的 PA 干预瑜伽舞蹈 (YD)，以及是否可以使用 YD 数字视频可以影响有 MetS 风险或患有 MetS 的 AA 女性（35-64 岁）的久坐生活方式行为。本研究的主要目的是确定 YD 干预的可接受性和可行性。具体来说，该研究将检查 (a) 参与者资格率、应计人数、自然减员以及减员原因； (b) 使用互联网评估研究参与情况和实施 YD 干预的可行性； (c) 使用市售加速度计客观测量 PA 的可行性； (d) 结构化 YD 干预的可接受性； (e) 研究的任何其他好处和/或局限性。本研究的次要目的是确定参与 te YD 干预后 PA 是否存在差异。该研究将采用以社会建构主义理论和彭德健康促进模型为基础的单组混合方法设计。研究参与者将来自以大学为中心的农村 AA 社区和大型城市 AA 社区。完成现场筛查和基线测量后，同意的参与者将参加为期 4 周的基于互联网的视频干预，该视频干预由申请人在熟练的公共广播、舞蹈和瑜伽练习者的指导下精心设计和制作。参与者将被引导设定可实现的目标，以逐步增加 PA，并将使用在线 PA 日记记录每日 YD 参与情况。研究参与度将根据 YD 网站登录尝试的频率以及对三种独特 YD 姿势的 YD 视频的观看进行评估。为了客观地测量 PA，参与者将使用腰戴的 FitbitTM 加速度计，该加速度计能够将这些数据上传到 YD 研究网站进行分析。所有招募的参与者都将被邀请参加焦点小组，以收集他们对 YD 障碍和益处的看法、日常生活中瑜伽和舞蹈的体验以及使用 YD 干预的可接受性。此外，还将计算从参与者资格率、应计率、自然减员率以及已完成研究措施的数量得出的描述性/频率数据。将使用相关 t 检验来确定 YD 是否对 PA 产生影响，该检验将基线 PA 与通过在线 PA 日记和加速计数据测量的干预后 PA 进行比较。焦点小组数据将使用三角测量的内容/主题分析进行分析，并将为探索影响 AA 女性 PA 的复杂问题和促进因素的研究计划奠定基础。